Commitment to

BHM Healthcare Solutions tackle the challenges faced in payer and provider relationships, leading to stronger, more positive results.
Utilization Management
Commitment

Connect
Doctors To Doctors

When doctors connect, relationships grow and appeals happen less often.

85%

Connection Rate for
Peer-to-Peer Calls

Get Clear Communications with Members and Patients

Clear Communications with patients and members can lead to higher satisfaction and improved outcomes.

4-6th

NCQA-compliant member statements meeting the required reading levels developed by experienced clinicians clearly explains each determination.
cprs

Push Notifications
Keep You Connected

Complex reviews, by their very nature and financial impact, raise the bar for hitting deadlines.

+95%

Turnaround times are met by tracking steps and automatically notifying clients of progress.

Services and Software Improving Your Bottomline.

BHM, serving as an outsider to your organization, offers expertise independent of the health plan, the hospital, and the patient.

Clinical Peer Review System (CPRS) is an independent software solution for the secure case review of in-house medical staff for the purposes of quality control, staff development, OPPE/FPPE process management, and regulatory compliance.

A productive peer to peer (P2P) consultation adds vital intelligence to any patient-centric peer review decision. The recorded notes ensure accuracy and future proof of the important details.

Credentials Trusted throughout Healthcare

BHM Healthcare Solutions began in 2002 bringing insights to hospitals and payers though efficiency consulting and behavioral health expertise and growing into the powerfully nimble resource for your organization.

20+

years of serving the  healthcare industry

Frequently Asked Questions

BHM is current with HITRUST, URAC Independent Review: External and Internal, and NCQA Utilization Management.

Clinical Peer Review System™ (CPRS) is an independent software solution for the secure case review of in-house medical staff for the purposes of quality control, staff development, OPPE/FPPE process management, and regulatory compliance.

 

BHM’s P2P call coordinators bring support, transcription, and independent observation to the call and ensure a quick connection, an accurate summary, and an impartial confirmation of details. Oh, and an 85% connection rate.

Our PRS™ web portal is available 24/7 for entering cases.  Office hours include 9 am to 6 pm ET though additional off-hour processing time is available. Please email sales@bhmpc.com for information on special services.